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Wiki Correct coding for surgical assist at Cesarean Section

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bfitzgerald

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Looking for confirmation on which code is appropriate for billing the surgical assist at Cesarean. Since the patient has received entire care at OB practice I have been using the global billing code 59510 (antepartum, cesarean & pp care) for surgeon and 59514-80 for surgical assist (another provider-same OB practice). Would this be correct coding? Appreciate the feedback. Thank you.
 
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Yes, the primary (if billing global) uses 59510. The assistant should not use the global and codes 59514-80.
I work for a gynecologic oncology practice where the physicians are occasionally called in to assist C-sections for placental issues. Maybe 2 or 3 times I have needed to write a letter explaining the situation, but I don't think we've ever not received reimbursement billing 59514-80.
I will note that I have heard of issues from other general ob offices getting paid for an assist on a C-section, but I cannot speak to details. It's also possibly they were incorrectly billing 59510-80 when getting denied.
 
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